Medical Records Technician (Third Party Liability Coordinator)

This position is located in the Business Office Branch at the Gallup Indian Medical Center located within the Navajo Area Indian Health Service. The purpose of this position is to provide coordination and serves as a resource person for third party reporting, correspondences, records retention and archiving within a hybrid (paper/electronic) environment.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Total Compensation Package - Check out IHS's outstanding total compensation package for this job:
Medical Records Technician Total Compensation | Pay (ihs.gov)

• Manages and coordinates all the third-party activities by screening all third-party cases for possible tort liability and reporting any such cases to the Office of Regional Counsel. Cases are to be reported as soon as a patient is provided medical care and treatment. Reviews, analyzes, and processes possible cases.
• Processed and reviews Resource Patient Management System (RPMS) reports and any correspondences from Contract Health, Health Information Management (HIM-Medical Records), Patient Registration/Admissions and the Business Office. Verifies and abstracts patient's medical records documentation to ensure completeness and accuracy.
• Performs a thorough review of billing record(s) requested from the attorney's or legal entities and insurance carriers. Responds and assists requestor inquiring about coding, billing and itemized statements. Communicates with requestors by responding with pre-formatted and template letters. Enters all potential third-party cases into the software system.
• Researches location and accession numbers for inactive records retired to the FRC and initiates a request using the National Archive Records Administration (NARA) electronic retrieval system for records that are needed for treatment of patient. Assembles and combines inactive records with original record upon return from the FRC. Ensures that all patient documents have patient identification on each page, year activity stamp/sticker, documents and forms in chart sequential order, master control log updated, and chart is clearly identified as combined and complete.
• Coordinates the maintenance and archiving of fetal monitor strips. Retrieves and analyzes for patient identification and ate of visit. Files fetal monitor strips by year in terminal-digit numerical order. Retrieves fetal monitor strips for health care providers for chart review or audits.

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

MINIMUM QUALIFICATIONS:
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
GS-06: Utilize public laws, hospital regulations and directives covering operational and procedural requirements. Applies judgment and interprets guides/manuals to specific cases. Coordinate efforts of the accuracy, timeliness and reliability of medical records in order to render patient care services, treatment, statistical retrieval, and reimbursement from insurance companies and other third party entities.

Time In Grade
Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

You must meet all qualification requirements within 30 days of the closing date of the announcement.

There are no education requirements.

Selectee may be subject to a probationary period
ESEP appointees typically serve a two year trial period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959

IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

You will need to set up direct deposit so we can pay you.

Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.
A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.
Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.
Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Financial Suitability Requirement:
This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.
Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).
Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.